Psychosocial Integrity Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Psychosocial Integrity flashcards as text
An elderly patient presents with unexplained bruising in various stages of healing and appears fearful when their caregiver enters the room. The nurse's FIRST action is to:
Answer: Report suspected elder abuse to adult protective services
LVNs are mandatory reporters; suspected elder abuse must be reported immediately to the appropriate authority.
When providing care for a patient from a culture where eye contact is considered disrespectful, the nurse should:
Answer: Adapt communication style to respect the patient's cultural norm
Culturally competent care requires the nurse to adapt communication practices to align with the patient's cultural values.
A terminally ill patient tells the nurse, 'I've made my peace and I'm ready to go.' The nurse's BEST response is:
Answer: 'Tell me what that means to you.'
Asking the patient to elaborate explores meaning and demonstrates respect for their emotional and spiritual experience.
A postpartum patient at 3 weeks after delivery reports feeling detached from her baby and having thoughts of harming her infant. The nurse recognizes this as:
Answer: Postpartum psychosis requiring urgent intervention
Thoughts of harming the infant indicate postpartum psychosis, a psychiatric emergency requiring immediate intervention.
A patient who recently lost their job begins exercising daily and channeling energy into volunteer work. The nurse identifies this coping mechanism as:
Answer: Sublimation
Sublimation is a mature defense mechanism in which unacceptable impulses are redirected into socially acceptable activities.
A veteran with PTSD becomes startled by a car backfiring and runs out of the waiting room. The nurse's PRIORITY intervention is to:
Answer: Follow the patient and begin grounding techniques in a calm voice
Grounding techniques (e.g., 5-4-3-2-1 sensory method) help reorient a patient experiencing a PTSD trigger back to the present.
A competent adult patient refuses a recommended psychiatric medication. The nurse's appropriate response is to:
Answer: Notify the provider and document the patient's refusal, respecting their autonomy
Competent adults have the legal right to refuse treatment; the nurse must document refusal, notify the provider, and respect patient autonomy.